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Home My WebLink About01-05-07 REV .1liOO ex + (11'.00) * REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMOMNEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 .... Z W Q W ld Q DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) VERNON, JOYCE T :.)F::I:.~I./,;. 1..1:;;;;: :.X,l.Y I FILE NUMBER 21 06 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 00637 NUMBER 001-20-4367 04/27/2006 05/14/1928 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) VERNON, WILLIAM W 1. Original Return 2. Supplemental Return W I- lIl::~lI) oa::lIl:: wlLO J:oo oa::...J lLDI lL ..a: o 4. Limited Estate o o REGISTER OF WILLS SOCIAL SECURITY NUMBER 3. Remainder Return (date of death prior to 12-13-82) 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95 o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) ..... lI)z Ww a::Q a::z 8~ AME Lisa M. Greason IRM NAME (If applicable) Greason Law Office ELEPHONE NUMBER 717/241-3030 COMPLETE MAILING ADDRESS P.O. Box 385 Carlisle, PA 17013 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly OWned Property (Schedule F) ~ 0 Separate Billing Requested i= ::!i 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property i:! (Schedule G or L) ~ 8. Total Gross Assets (total Lines 1-7) ~ 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (1 ) -0- G~FIC..Ll..L USE C;NL"{ (2) 8 ,..." None C:::) c:::::l ::J:J ;;::>",0 -... (3) None .......:0 C- r'll O:J '"'0 0 ~] ] ;;r (") :::. c:) (4) None ;:~ J:'; r- Z ':l. J \:~ ..-c::... 9;1 r C:~.J ~ "- Ut ;Tl (5) ;",=..(/);:0:;: CJ 120,665.74 '.,Joo (~:) (-) r-... -. -0 (6) " - __.II' :x .-,., 227,737.99 :::,) c =:J ; ::0 '- ) (7) 182,560.97 'TJ --i t- -~ I'TC'j :i> _ee} (8) '*-'530,964.70 (9) 14,886.69 (10) (11 ) 14,886.69 516,078.01 (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) 516,078.01 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, 471,139.69 x .00 (15) or transfers under Sec. 9116(a)(1.2) z 44,938.32 .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x i= ~ :J lL 17. Amount of Line 14 taxable at sibling rate .12 (17) ~ x 0 0 )( 18. Amount of Line 14 taxable at collateral rate c( x .15 (18) .... 19. Tax Due (19) 0.00 2,022.22 2,022.22 CHECK HERE IF YOU ARE F~EQUESTING A REFUND UF Ar~ OVERPA nlHJT 20. 0 mw~w:mlmMl@@~~~t~l~~~~1MmM@~~t~~~W___f.l:ffif:rt~Will~~fj~mt.ntn$.t.M~~W~~~lli~~Mmm Copyright 2000 fonn software only The Lackner Group, Inc. Fonn REV-1600 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 1001 DALE PLACE CITY ISTATE PA IZIP 17013 CARLISLE Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 1,536.57 80.87 Total Credits (A + B + C) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (1 ) 2,022.22 (2) 1,617.44 (3) 0.00 (4) (5) 404.78 (5A) (5B) 404.78 ~~~;:~~~.t.~:.: .....~:~~:::-:)~1:j::::;:~:f.:;;~::::~~~~:~t:>.;:~ }/::~.~:~~<:~::(:. ~:::~~.>-:. tfk;:f:i:;:~~~~;:{:;'~:~~;~?::J~~r:~.~;)~~t ::~;: ::::~f'/ :;?t;~!~~. :: ~:..~}~ :..::: ,: : ....: . :.:'"~;" ~~.:" ?.. ./~~ .;-:;.. J . :~.;;; ;:,:..(~:: ~..*~:~:::~:;:~:.>. :":':~z;'; /~J.:-:t:.../:;::::~..:-~*~;...'. \'i:-:~::-J.~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;..................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income;......................................... 0 ~ c. retain a reversionary interest; or..................................................................................................................... DO ~ d. receive the promise for life of either payments, benefits or care?.................................................................. ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........ ......... .................................. ......... ................ .......................................... ... D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?............... ~ D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?.... ... ................................. ......... ... ......... ........................................ .................. ~ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on ali information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS WILLIAM W VERNON 1001 DALE PLACE CARLISLE, PA 17013 ADDRESS DATE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE Lisa M. Greason ADDRESS DATE P.O. Box 385 Carlisle, PA 17013 0/ /<J~ () or dates of death on or after July 1, 1994 a d be~ re January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1. I ]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P .5. S9116 1.2) [72 P.S. ~9116 (a) (1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P .5. S9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an indMdual who has at least one parent in common with the decedent, whether by blood or adoption. '* SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA ItfiERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T FILE NUMBER 21 - 06 - 00637 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be excflanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knoWledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 TOTAL (Also enter on Line 1, Recapitulation) * SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMON\NEAI. TH OF P~LVANIA INiERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T FILE NUMBER 21 - 06 - 00637 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 REICH & TANG, 600 Fifth Avenue, NY NY 10020-2302, INVESTMENT ACCOUNT # 3092489, 17.916.80 including accrued interest til DOD 2 FIDELITY INVESTMENTS, P.O. Box 770001, Cincinnati OH 45277-0003, IRA ACCOUNT # 20,721.15 2AX-506532, CUSIP-3164621 00, Quantity-20652.930, unit value $1.00, including accrued interest til DOD 3 FRANKLIN TEMPLETON INVESTMENTS, 100 Fountain Parkway, P.O. Box 33030, St. 82.027.79 Petersburg, FL 33733-8030 ACCOUNT # 111-11118175206, asset summary # 00207241 , including accrued interest til DOD 4 5 6 TOTAL (Also enter on Line 5, Recapitulation) 120,665.74 '* SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON JOYCE T , I FILE NUMBER 21 - 06 - 00637 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT WILLIAM W. VERNON 1001 DALE PLACE Husband H CARLISLE, PA 17013 THOMAS L. VERNON 1001 DALE PLACE Son S CARLISLE, PA 17013 JOINTLY OWNED PROPERTY: ITEM I LETTER I DATE DESCRIPTION OF PROPERTY DATE OF DEATH %OF DATE OF DEATH NUMBER !FOR JOINT MADE Include name of financial institution and bank account number or VALUE OF ASSET DECO'S VALUE OF i TENANT JOINT similar identifying number. Attach deed for jointly-held real estate. INTEREST DECEDENTS INTEREST 1 H 06/15/1979 1001 DALE PLACE, CARLlSE, 185,210.00 50% 92.605.00 I CUMBERLAND COUNTY, PA I TAX PARCEL # 04-23-0600-045 2 H 06/15/1979 ORRSTOWN BANK, P.O. Box 250, 9,153.15 50% 4.576.58 Shippensburg, PA 17257, CHECKING ACCOUNT # 106000600 I I I 3 H 06/15/1979 ORRSTOWN BANK, P.O. Box 250, 54.767.90 50% 27.383.95 Shippensburg, PA 17257, HOMETOWN INVESTMENT ACCT # 106210917 4 S 03/0112002 ORRSTOWN BANK, P.O. Box 250, 21.564.64 50% 10.782.32 Shippensburg, PA 17257, MONEY MAKER CHECKING ACCT# 106002056 I I 5 S 03/0112002 FIDELITY INVESTMENTS, P.O. Box 770001, 68,311.99 50% 34.156.00 Cincinnati OH 45277-0003, ACCT 2AX-506540, CUSIP-3164621 00, Quantity-68311.990, unit value $1 6 H 06/15/1979 FIDELITY INVESTMENTS, P.O. Box 770001, 41.468.28 50% 20.734.14 Cincinnati OH 45277-0003, ACCT 2AX-506559, CUSIP-3164621 00, Quantity-41468.280, unit value $1.00 Total of Continuation Schedule(s) TOTAL (Also enter on line 6, Recapitulation) 227,737.99 *' SCHEDULE F JOINTLY-OWNED PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T I FILE NUMBER 21-06-00637 If an asset was made joint within one year of the decedenfs date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY I DESCRIPTION OF PROPERTY ITEM I LETTER DATE DATE OF DEATH %OF DATE OF DEATH NUMBER ,FOR JOINT MADE In lude name of financial institution and bank account number or VALUE OF ASSET DECD'S VALUE OF I TENANT JOINT sir~i1ar identifying number. Attach deed for jointly-held real estate. INTEREST DECEDENT'S INTEREST 7 H 06/15/1979 Orrstown Bank, P.O. Box 250, Shippensburg, PA 75.000.00 50% 37.500.00 17257,12 Month CD, account # 4000009346 I I I I Page 2 of Schedule F * SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 - 06 - 00637 ESTATE OF VERNON, JOYCE T ITEM DESCRIPTION OF PROPERTY DATE OF DEATH 'lllOF EXCLUSION TAXABLE VALUE NUMBER Include the name of the transferee, their relationship to decedent VALUE OF ASSET DECD'S (IF APPLICABLE) and the date of transfer. Attach a copy of the deed for real estate. INTEREST 1 TIAA-CREF, 730 Third Ave, NY NY 10017-3206, 182,560.97 100% 0.00 182,560.97 TEACHERS PENSION ANNUITY, No. 0-807534-3 I ! TOTAL (Also enter on line 7, Recapitulation) 182,560.97 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. '* SCHEDULE H FUNERAL EXPENSES & ADIUNSlRAllVECOSTS COMMONWEALTIi OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: A. 1 Minister Fee - Reverend Judy Weller DESCRIPTION 2 Ewing Brothers Funeral Home, Inc. - funeral services and casket 3 Ashland Cemetery - burial lots B. ADMINISTRATIVE COSTS: Personal Representative's Commissions 1. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip 2. Year(s) Commission paid Attorney's Fees Lisa M. Greason, Esquire 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Cumberland County Register of Wills Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Legal Advertisement in The Sentinel Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) FILE NUMBER 21 - 06 - 00637 AMOUNT 150.00 8,479.40 2,550.00 3,000.00 488.00 144.29 75.00 14,886.69 * SchecUe H Fu1eraI Expens as & Ad.. ~dWe CosIs cootinJed COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T I FILE NUMBER 21 - 06 - 00637 2 Legal Advertisement in the Cumberland Law Journal 75.00 Page 2 of Schedule H '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMOMNEAI. TH OF P~LVANIA IN'iERITANCE TAX REnJRN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T FILE NUMBER 21 - 06 - 00637 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 TOTAL (Also enter on Line 10, Recapitulation) REV-1513 EX+ (9-00) * SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VERNON, JOYCE T I FILE NUMBER 21 - 06 - 00637 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE Do Not List Trustee(s) I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 William W. Vernon spouse Rest, residue and remainder of estate 2 Thomas Lee Vernon son Joint accounts on Schedule F, #4 and #5 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, pn Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-15OO COVER SHEET